Dear Estherderu,

I first wish to appreciate your guidance through the knowledge and information you have been sharing on a regular basis on this forum. I have followed it and found it very helpful.

The views expressed in the presentation regarding the need for focus on Activity, resonate with my growing understanding of what the rationale of therapy approach needs to be.If therapy focus remains on impairments and not on engaging in functional activities, it will remain but a therapy session with minimal scope of translating into a part of the child's daily life.

It has taken a bit of unlearning, but along with the new literature on motor learning, etc. the children have made unlearning easier- giving very clear signs on whats working and whats not!
Also with experience I have understood and am continuing to understand how the therapy ought to be more and more and more child centric, even in aspects we do not automatically relate as affecting therapy. Along these lines the most important trigger is motivation of the child...sure we all use play in therapy, but there is so much more to each child- its essential to put yourself in the childs shoes to ensure optimal participation.

I would like to add though that even though the approach point and agenda has shifted, the intervention through facilitation of functional activities and limitation of secondary impairments continues partly through the traditional methodology. Awaiting better understanding on the relevance of the same.